MRS. MELINDA SUE WALTERS (NPI# 1811299621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811299621 |
| Entity Type | Individual |
| Full Name | MRS. MELINDA SUE WALTERS |
| Credential | ABO |
| Practice Address |
9911 Kennerly Rd Saint Louis MO 63128-2700 |
| Practice Telephone | 3418420420 |
| Practice Fax Number | 3148421407 |
| Mailing Telephone | 3148420420 |
| Mailing Fax Number | 3148421407 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
14412 | MO | Eye and Vision Services Providers |
| Street Address |
9911 KENNERLY RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265416697 | Hiralal Turshamal Tekwani | Ophthalmology | 9911 Kennerly Rd, Saint Louis, MO 63128-2700 | 2005-11-30 |
| 1922395854 | Jessica Carson Jones | Optometrist | 9911 Kennerly Rd, Suite A, Saint Louis, MO 63128-2700 | 2011-06-29 |
| 1326217811 | Steven J Richter | Dentist | 9911 Kennerly Rd, Suite E, Saint Louis, MO 63128-2700 | 2008-02-28 |
| 1366630287 | Tekwani Vision Center,inc | Ophthalmology | 9911 Kennerly Rd, Suite A, Saint Louis, MO 63128-2700 | 2007-10-04 |
| 1205047933 | William Allen Gray | Dentist | 9911 Kennerly Rd, Suite E, Saint Louis, MO 63128-2745 | 2007-05-24 |
| 1336365956 | William A. Gray, D.m.d., LLC | Dentist | 9911 Kennerly Rd, Suite E, Saint Louis, MO 63128-2700 | 2007-04-18 |
| 1629087929 | Jeffrey Michael Kratky | Dentist | 9911 Kennerly Rd, Ste. E, Saint Louis, MO 63128-2700 | 2006-08-05 |
| 1578572954 | Steven Joseph Hribernik | Dentist | 9911 Kennerly Rd, Ste. E, Saint Louis, MO 63128-2700 | 2006-08-05 |
| 1538143805 | Navin Hiralal Tekwani | Ophthalmology | 9911 Kennerly Rd, Saint Louis, MO 63128-2700 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760851547 | National Vision, Inc. | Technician/Technologist | 7345 S Lindbergh Blvd Ste B, Saint Louis, MO 63125-4574 | 2015-09-22 |
| 1184905119 | Kimberly Elaine Burford | Technician/Technologist | 6201 Famous Ave, Saint Louis, MO 63139-3043 | 2011-09-05 |
| 1285885673 | Tyrone Aaron Gibson | Technician/Technologist | 5014 Virginia Ave Apt 2w, Saint Louis, MO 63111-1739 | 2008-10-03 |
| 1710161716 | Robert Joseph Gruchala | Technician/Technologist | 6200 Chippewa, Saint Louis, MO 63109-2238 | 2007-12-27 |
| 1467678490 | James Lawton Brown | Technician/Technologist | 9644 Olive Blvd, Saint Louis, MO 63132-3002 | 2007-04-18 |
| 1801918115 | Michael Harris | Technician/Technologist | 745 N New Ballas Rd, Saint Louis, MO 63141-6715 | 2007-04-06 |
| 1558481168 | Alexander Jenkins | Technician/Technologist | 1015 N Grand Blvd, Suite A, Saint Louis, MO 63106-1623 | 2007-03-29 |
| 1225069396 | America's Best Contacts & Eyeglasses | Technician/Technologist | 221 Watson Plz, Saint Louis, MO 63126-1963 | 2006-07-06 |
| 1841221926 | America's Best Contacts & Eyeglasses | Technician/Technologist | 10950 New Halls Ferry Rd, Saint Louis, MO 63136-4435 | 2006-07-06 |
| 1396927166 | Charles T Staton Sr. | Technician/Technologist | 1408 N Kingshighway Blvd, Saint Louis, MO 63113-1400 | 2007-12-03 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
Please comment or provide details below to improve the information on MRS. MELINDA SUE WALTERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.